Companion Linc Apple Valley Respite Home, Saint Paul

License Number- 1094981

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  Companion Linc Apple Valley Respite Home

Website-  

Address- 13608 GOSSAMER WAY, Saint Paul, MN 55124-7875

County -Dakota

Phone-(952) 666-2255

License Status-   Active

License Holder -Companion Linc LLC

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1080893; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Dakota County Community Services

Initial Effective Date-  6/18/2018